1988-0309_GLENFED DEV CORP._Insurance Certificate S.MI CERTIFICA' _ OF INSURANCE ISSUE DATE(MM/DD/YY)
3/9/88 nlm
ICRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
GLENFED Insurance Services ENXOTTIMEPTHTEHCECROTVCGTE AHOODEDS CERTIFICATE DBOEELSONWO.T AMEND,
P.O. Box 1272
Glendale, CA 91209 I° I 1 61YIPA
MGR TIES AFFORDING COVERAGE
(818)409-4774 coMPWe A
LETTER Fireman's Fund Insurance Companies
COMPANY B
INSURED LETTER
GLENFED DEVELOPMENT CORPORATION COMPANY
16601 Ventura Boulevard, 2nd Floor LETTER C
Encino, California 91436 COMPANY
LETTER D
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI-
TIONS OF SUCH POLICIES.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE(MM/OD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 3,000
A X COMMERCIAL GENERAL LIABILITY KXC 800 77 027 8-26-87 8-26-88 PRODUCTS-COMP/OPS AGGREGATE $ 1 ,000
CLAIMS MADE X OCCURRENCE PERSONAL&ADVERTISING INJURY $ 1 ,000
X OWNERS&CONTRACTORS PROTECTIVE EACH OCCURRENCE $ 1 ,000
X PRODUCTS/COMPLETED OPERATIONS FIRE DAMAGE(ANY ONE FIRE) $ 100
MEDICAL EXPENSE(ANY ONE PERSON) $ 5
AUTOMOBILE LIABILITY
A x ANY AUTO n ,, n $
$ 1f 000
ALL OWNED AUTOS `,. . ,
BODILY
INJURY
SCHEDULED AUTOS ,PER PERSON)
HIRED AUTOS BODILY $
INJURY
NON-OWNED AUTOS ACCIDENTI $
GARAGE LIABILITY PROPERTY
DAMAGE $
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
STATUTORY
WORKERS'COMPENSATION $
(EACH ACCIDENT)
AND
EMPLOYERS' LIABILITY $ (DISEASEPOLICYLIMIT)
$ (DISEASE EACH EMPLOYEE)
OTHER 1, (�
eV- 0 l OI D
17 1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
ALL OPERATIONS OF THE NAMED INSURED RE: Tract #12262
City of San Juan Capistrano is named as an Additional Insured as respects to the referenced
tract, and as per attached Endorsement CG20131185.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
City of San Juan Capistrano PIRATION DATE THEREOF, THE ISSUING COMPANY WILL RIXNAMORXR0
32400 Paseo Adelanto MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
San Juan Capistrano, California 92675 LEFT,1311xX KIXOFIECDCK Id MK 1DX391071 2ttAIZCaeae (2611132VTIOAVCIP
x.}AI$1C}TxxflEANxx1 X5e61txxEt COMPANXx DIRS( R A
Attn: Mary Ann Hanover AUTHORIZEDREPRE TATIVEi
�
ACORD 25-S(11/85) IIR/ACORD CORPORATION 1985
1,
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL COVERAGE GENERAL LIABILITY
Additional Insured—State or Political
Subdivisions—Permits Relating to Premises
POLICY AMENDMENT CG 20 13 11 85
IF THE FOLLOWING INFORMATION IS NOT COMPLETE, REFER TO THE APPROPRIATE DECLARATIONS ATTACHED TO THE POLICY.
INSURED POLICY NUMBER SEQUENTIAL NO.
GLENFED DEVELOPMENT CORPORATION KXC 800 77 027 001
PRODUCER EFFECTIVE DATE
GLENFED Insurance Services 8/26/87 -- 8/26/88
SCHEDULE
STATE OR POLITICAL SUBDIVISION: CITY OF SAN JUAN CAPISTRANO
32400 Paseo Adelanto
San Juan Capistrano, California 92675
WHO IS AN INSURED(Section II)is amended to include as 1. The existence, maintenance, repair, construction, erec-
an insured any state or political subdivision shown in the tion, or removal of advertising signs, awnings,canopies,cel-
Schedule, subject to the following additional provision: lar entrances, coal holes, driveways, manholes, marquees,
hoistaway openings,sidewalk vaults,street banners,or deco-
This insurance applies only with respect to the following haz- rations and similar exposures;
ards for which the state or political subdivision has issued a 2. The construction, erection,or removal of elevators;
permit in connection with premises you own,rent,or control
and to which this insurance applies: 3.The ownership, maintenance, or use of any elevators cov-
ered by this insurance.
Contains Copyrighted Material of Insurance Services Office,Inc.,1984
This Form must be attached to Change Endorsement when issued after the Policy is written.
ONE OETHE FIREMAN'S FUND INSURANCE COMPANIES AS NAMED IN THE POLICY
d. iG.Q...-✓l
II XCL PRESIDE.N"T
STOCK NO. CG 20 13 11 85
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